十字针刀结合改良抽吸罐治疗急性痛风性关节炎临床研究  

Clinical Study on Cross-Shaped Acupotomy Combined with Improved Suction Cupping for Acute Gouty Arthritis

作　　者：张盛 王宏南 王磊 ZHANG Sheng;WANG Hongnan;WANG Lei(Department of TCM Acupuncture and Chinese Massage,Zhoushan Women and Children's Hospital,Zhoushan Zhejiang 316000,China)

机构地区：[1]舟山市妇女儿童医院中医针灸推拿科,浙江舟山316000

出　　处：《新中医》2024年第17期53-57,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2016ZA198)。

摘　　要：目的:观察十字针刀结合改良抽吸罐治疗急性痛风性关节炎的临床疗效。方法:选取60例急性痛风性关节炎患者,按随机数字表法分为对照组和观察组各30例。对照组予以双氯芬酸钠缓释胶囊治疗,观察组在对照组基础上采用十字针刀结合改良抽吸罐治疗,2组连续治疗14 d。评估2组临床疗效,比较2组治疗前后的中医证候评分、炎症指标及血尿酸(SUA)水平,并比较2组治疗前后的膝关节功能、关节活动度、疼痛程度。结果:治疗后,观察组总有效率为96.67%,高于对照组73.33%(P<0.05)。治疗后,2组各项中医证候评分较治疗前降低(P<0.05),且观察组各项中医证候评分低于对照组(P<0.05)。治疗后,2组C-反应蛋白(CRP)、红细胞沉降率(ESR)、血尿酸(SUA)水平较治疗前降低(P<0.05),且观察组CRP、ESR、SUA水平低于对照组(P<0.05)。治疗后,2组Lysholm评分、膝关节活动度(ROM)较治疗前升高,视觉模拟评分法(VAS)评分较治疗前降低(P<0.05);且观察组Lysholm评分、ROM高于对照组,VAS评分低于对照组(P<0.05)。结论:十字针刀结合改良抽吸罐治疗急性痛风性关节炎的临床疗效显著,可缓解患者的临床症状和疼痛程度,降低炎症因子水平,提高关节功能和关节活动度。Objective:To observe the clinical effect of the therapy of cross-shaped acupotomy combined with improved suction cupping on acute gouty arthritis.Methods:A total of 60 patients with acute gouty arthritis were selected and divided into the control group and the observation group according to random number table method,with 30 cases in each group.The control group was treated with Diclofenac Sodium Sustained-Release Capsules,and the observation group was additionally treated with cross-shaped acupotomy combined with improved suction cupping based on the treatment of the control group.The two groups were treated for 14 days.The clinical effects in the two groups were evaluated,and the traditional Chinese medicine(TCM)syndrome scores,inflammation indexes and levels of serum uric acid(SUA)before and after treatment were compared between the two groups,and the knee joint function,joint motion and pain degree were also compared before and after treatment.Results:After treatment,the total effective rate was 96.67%in the observation group,higher than that of 73.33%in the control group(P<0.05).After treatment,the TCM syndrome scores in both groups were reduced when compared with those before treatment(P<0.05),and the TCM syndrome scores in the observation group were lower than those in the control group(P<0.05).After treatment,the levels of C-reactive protein(CRP),erythrocyte sedimentation rate(ESR)and SUA in both groups were decreased when compared with those before treatment(P<0.05),and the levels of CRP,ESR and SUA in the observation group were lower than those in the control group(P<0.05).After treatment,the Lysholm scores and knee joint range of motion(ROM)in both groups were enhanced when compared with those before treatment,and the scores of Visual Analogue Scale(VAS)were reduced when compared with those before treatment(P<0.05);the Lysholm score and ROM in the observation group were higher than those in the control group,and the VAS score was lower than that in the control group(P<0.05).Conclusion:The therapy of cr

关 键 词：急性痛风性关节炎 十字针刀 改良抽吸罐 膝关节功能 膝关节活动度 疼痛程度 

分 类 号：R589.7[医药卫生—内分泌]